Nicholas Bradlee Dpm in Warren - Podiatrist
Nicholas Bradlee Dpm - NPI 1972689586
Nicholas Bradlee Dpm is a Podiatrist in Warren, Michigan. Nicholas Bradlee Dpm practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Nicholas Bradlee Dpm is 1972689586. The last update date is 2020-08-22.
Nicholas Bradlee Dpm's current location address is Po Box 1227, Warren, Michigan. You can contact this provider via phone number 5867513533 and fax number 5867511817. The mailing address for Nicholas Bradlee Dpm is Po Box 1227, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nicholas Bradlee Dpm |
|---|---|
| Address | Po Box 1227, Warren, Michigan |
| Phone Number | 5867513533 |
| Fax Number | 5867511817 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bradlee Nicholas |
| Credentials | DPM |
| Telephone Number | 5867513533 |
NPI Number Detail
| NPI Number | 1972689586 |
|---|---|
| Provider Enumeration Date | 2006-10-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 1227 |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480901227 |
| Phone Number | 5867513533 |
| Fax Number | 5867511817 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | NB000558 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8505050 | MI | BLUE CROSS BLUE SHIELD | |
| 5635277 | MI | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identification code issued to Nicholas Bradlee Dpm by the Centers for Medicare & Medicaid Services?
The Nicholas Bradlee Dpm has been assigned the NPI (National Provider Identifier) 1972689586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Nicholas Bradlee Dpm?
The Nicholas Bradlee Dpm is situated at Po Box 1227, in the city of Warren, state of MI, with the zip code 480901227.
What is Nicholas Bradlee Dpm's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nicholas Bradlee Dpm's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972689586 to Nicholas Bradlee Dpm?
The Nicholas Bradlee Dpm received its 1972689586 assignment from the Centers for Medicare & Medicaid Services on 2006-10-27.
As of what date were the details related to Nicholas Bradlee Dpm most recently updated or revised?
The information pertaining to Nicholas Bradlee Dpm, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.